Speech Therapy

 

Speech Disorders

When a child has a Speech Disorder, they are unable to produce, initiate or imitate speech sounds correctly or fluently. We work with students and their families to remediatw speech sounds and phonological processes

PROMPT

PROMPT is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets. The PROMPT Therapy technique is a tactile-kinesthetic approach that uses touch cues to a patient’s articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase or sentence. The technique develops motor control and the development of proper oral muscular movements, while eliminating unnecessary muscle movements, such as jaw sliding and inadequate lip rounding.

Therapy begins by helping patients produce specific sounds.  Each sound requires different muscle contractions/retractions and placement/movement of the jaw, lips, tongue, and voice to produce. All of these things have to happen with the proper timing and sequence to produce one sound correctly. PROMPT  attempts to “teach” the patient’s muscles to produce sounds correctly by stimulating all of these through touch.

PROMPT therapy is appropriate for a wide range of patients with communication disorders. The most common patients have motor speech disorders, articulation problems or are non-verbal children. Many patients with aphasia, apraxia/dyspraxia, dysarthria, pervasive development disorders, cerebral palsy, acquired brain injuries and autism spectrum disorders have benefited from PROMPT therapy.

OroMyoFunctional Therapy

The Orofacial MyoFunctional Therapy Clinic at The Speech Dynamic focuses on remediation of thumb sucking/finger sucking, nail biting, forward tongue postures and open lip postures (incorrect oral rest postures), tongue thrust swallow (incorrect oral phase swallow patterns), and other difficulties that support appropriate growth and development of the orofacial structures.

We have specialized Orofacial Myofunctional programs, which include highly structured treatment plans provided by specially trained therapists for children and teens with abnormal lip, tongue, and jaw resting positions or improper swallow patterns or sucking habits that impact their orofacial development, speech or swallowing.

The Orofacial Myology Clinic offers a structured and phased OMT program to address open mouth rest postures, forward tongue postures at rest and in function, forward and/or lateral tongue movement during swallows, immature chewing patterns, weak or uncoordinated food manipulation, and associated postures and functional impacts related to the OMD.  This program is typically includes 3 phrases with the first 12 weeks being intensive 1x per week sessions.  A maintenance program is then utilizes to ensure generalization of new skills into daily routines and tasks.  Progress is monitored through pre- and post-assessment for each phase of treatment, photo comparisons, and evaluation of functional tasks at each session.

 

 

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